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NPI Code Detail

MEDICARE: DR. CHARLES PAUL ROMAN D.O.

MEDICARE: DR. CHARLES PAUL ROMAN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician043757GA

General Provider Information

NPI Number : 1487636577
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES PAUL ROMAN D.O.
Provider Business Mailing Address
First Line : PO BOX 1038
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-1038
Country : US
Telephone Number : 706-653-2255
Fax Number : 706-653-2329
Provider Business Practice Location Address
First Line : 2737 WARM SPRINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-6859
Country : US
Telephone Number : 706-653-2255
Fax Number : 706-653-2329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 01/05/2017

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